Active NPI
Susan Marie Gniadek, APRN
- Family Nurse Practitioner
- Conway, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 21600
- Practice address
- 2404 Wise Rd
Conway, SC 29526-5521 - Phone
- (843) 698-2663
- NPI assigned
- Aug 18, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 21600 | SC | Primary |
Addresses
Primary practice location
2404 Wise Rd
Conway, SC 29526-5521
Mailing address
274 Penn Cir
Galivants Ferry, SC 29544-8679
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 3Rd Ave
Conway, SC 29526-5002
Phone (843) 848-6480
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avenir Ventures, L.L.C. | Current | Accepting new patients | |
| Lower Cape Fear Hospice Incorporated | Current | Accepting new patients | |
| Avenir Ventures, L.L.C. | Current | Accepting new patients | |
| Carelon Medical Partners, PC | Current | Accepting new patients | |
| Lower Cape Fear Hospice Incorporated | Current | Accepting new patients |
Locations
12900 Park Plaza Dr
Ste 150
Cerritos, CA 90703
Phone (562) 622-2800
5959 S Sherwood Forest Blvd
Ste A
Baton Rouge, LA 70816
1414 Physicians Dr
Wilmington, NC 28401
Phone (910) 796-7900
615 Saint George Square Ct
Ste 300
Winston Salem, NC 27103
Phone (336) 793-8125
2201 Boundary St
Ste 112
Beaufort, SC 29902
Phone (842) 549-5166
1314 3rd Ave
Conway, SC 29526
Phone (843) 848-6480
220 N Main St
Ste 500
Greenville, SC 29601
Phone (347) 294-3414
333 Commerce St
Ste 700
Nashville, TN 37201
Phone (615) 627-2293
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Conway, SC
- NPI 1760806319
-
- Nurse Practitioner
- Beaufort, SC
- NPI 1518223312
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Nashville, TN
- NPI 1124443403
SC
-
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Franklinton, NC
- NPI 1629967138
-
- Case Management Agency
- Wilmington, NC
- NPI 1669012563
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1503014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701734400000",
"number": "1629594809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "274 PENN CIR",
"city": "GALIVANTS FERRY",
"state": "SC",
"postal_code": "295448679"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2404 WISE RD",
"city": "CONWAY",
"state": "SC",
"postal_code": "295265521",
"telephone_number": "843-698-2663"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GNIADEK",
"first_name": "SUSAN",
"middle_name": "MARIE",
"credential": "APRN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-18",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "SC",
"license": "21600",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Conway, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.